NEAR FINAL DRAFT 8/1/24

                                                                                                                *247061*

2024 TPD, Tax Position Disclosure
Read instructions before completing this form.
Complete form to disclose a tax position relating to a Minnesota tax item. 

           Taxpayer Name                                                      FEIN                              Social Security Number or ITIN 

           Street Address or PO Box                                                                             Apt. or Suite                   
            
  Taxpayer City                                                               State                             ZIP Code 

           Email Address                                                      Phone

Part I: General Information (see instructions)
            A                       B           C                                   D                           E             F  
  MN Law, Statute, Rule, Item or Group          Detailed Description of Items       Form or Schedule            Line Number    Amount 
  Revenue Notice, etc.              of Items
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 4

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 6

Part II: Detailed Explanation (see instructions)
1

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6

I declare that the information in this request is correct and complete to the best of my knowledge and belief.  

Authorized Signature                            Title                               Date                          Direct Phone

                                                  9995